{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T16:16:37Z","timestamp":1785860197517,"version":"3.56.0"},"reference-count":86,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jamda.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the American Medical Directors Association"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.jamda.2026.106321","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T22:22:34Z","timestamp":1784067754000},"page":"106321","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of e-Mental Health Interventions on Psychological Outcomes Among Informal Caregivers of People With Dementia: A Systematic Review and Meta-Analysis"],"prefix":"10.1016","volume":"27","author":[{"given":"Ye","family":"Luo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyu","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingying","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiali","family":"Bai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenxi","family":"Duan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haoying","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6856-8274","authenticated-orcid":false,"given":"Huiru","family":"Yin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jamda.2026.106321_bib1","doi-asserted-by":"crossref","DOI":"10.4088\/JCP.AD19038BR1C","article-title":"Epidemiology and pathophysiology of dementia-related psychosis","volume":"81","author":"Aarsland","year":"2020","journal-title":"J Clin Psychiatry"},{"key":"10.1016\/j.jamda.2026.106321_bib2","doi-asserted-by":"crossref","first-page":"2145","DOI":"10.1016\/S0140-6736(15)61340-X","article-title":"Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990-2013: quantifying the epidemiological transition","volume":"386","author":"Murray","year":"2015","journal-title":"Lancet"},{"key":"10.1016\/j.jamda.2026.106321_bib3","series-title":"World Alzheimer Report 2022\u2014Life After Diagnosis: Navigating Treatment, Care and Support","year":"2022"},{"key":"10.1016\/j.jamda.2026.106321_bib4","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.1016\/S0140-6736(19)30427-1","article-title":"Mortality, morbidity, and risk factors in China and its provinces, 1990-2017: a systematic analysis for the global burden of disease study 2017","volume":"394","author":"Zhou","year":"2019","journal-title":"Lancet"},{"key":"10.1016\/j.jamda.2026.106321_bib5","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1037\/ccp0000176","article-title":"Benefit-finding and effect on caregiver depression: a double-blind randomized controlled trial","volume":"85","author":"Cheng","year":"2017","journal-title":"J Consult Clin Psychol"},{"key":"10.1016\/j.jamda.2026.106321_bib6","doi-asserted-by":"crossref","first-page":"1589","DOI":"10.1001\/jama.2019.4782","article-title":"Diagnosis and management of dementia: review","volume":"322","author":"Arvanitakis","year":"2019","journal-title":"JAMA"},{"key":"10.1016\/j.jamda.2026.106321_bib7","doi-asserted-by":"crossref","first-page":"4388","DOI":"10.1002\/alz.13081","article-title":"Prevalence of Alzheimer\u2019s disease dementia in the 50 US states and 3142 counties: a population estimate using the 2020 bridged-race postcensal from the National Center for Health Statistics","volume":"19","author":"Dhana","year":"2023","journal-title":"Alzheimers Dement"},{"key":"10.1016\/j.jamda.2026.106321_bib8","article-title":"2025 Alzheimer's disease facts and figures","volume":"21","year":"2025","journal-title":"Alzheimers Dement"},{"key":"10.1016\/j.jamda.2026.106321_bib9","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1007\/s40520-023-02356-4","article-title":"Italian guidance on Dementia Day Care Centres: a position paper","volume":"35","author":"Mossello","year":"2023","journal-title":"Aging Clin Exp Res"},{"key":"10.1016\/j.jamda.2026.106321_bib10","doi-asserted-by":"crossref","first-page":"217","DOI":"10.31887\/DCNS.2009.11.2\/hbrodaty","article-title":"Family caregivers of people with dementia","volume":"11","author":"Brodaty","year":"2009","journal-title":"Dialogues Clin Neurosci"},{"key":"10.1016\/j.jamda.2026.106321_bib11","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1080\/13607863.2020.1753014","article-title":"The prevalence and predictors of loneliness in caregivers of people with dementia: findings from the IDEAL programme","volume":"25","author":"Victor","year":"2021","journal-title":"Aging Ment Health"},{"key":"10.1016\/j.jamda.2026.106321_bib12","article-title":"Use of dementia and caregiving-related internet resources by informal caregivers: a cross-sectional study","volume":"9","author":"Teles, C. Pa\u00fal, C. Costa-Santos, and A. Ferreira","year":"2022","journal-title":"Front Med (Lausanne)"},{"key":"10.1016\/j.jamda.2026.106321_bib13","doi-asserted-by":"crossref","first-page":"104179","DOI":"10.1016\/j.ijnurstu.2022.104179","article-title":"The effectiveness of e-Health interventions on caregiver burden, depression, and quality of life in informal caregivers of patients with cancer: a systematic review and meta-analysis of randomized controlled trials","volume":"127","author":"Li","year":"2022","journal-title":"Int J Nurs Stud"},{"key":"10.1016\/j.jamda.2026.106321_bib14","doi-asserted-by":"crossref","first-page":"1173755","DOI":"10.3389\/fpsyt.2023.1173755","article-title":"The experiences of East Asian dementia caregivers in filial culture: a systematic review and meta-analysis","volume":"14","author":"Wang","year":"2023","journal-title":"Front Psychiatry"},{"key":"10.1016\/j.jamda.2026.106321_bib15","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1186\/s12877-023-03735-2","article-title":"Examining the association between neuropsychiatric symptoms among people with dementia and caregiver mental health: are caregiver burden and affiliate stigma mediators?","volume":"23","author":"Chen","year":"2023","journal-title":"BMC Geriatr"},{"key":"10.1016\/j.jamda.2026.106321_bib16","doi-asserted-by":"crossref","first-page":"3708","DOI":"10.1002\/alz.13809","article-title":"2024 Alzheimer's disease facts and figures","volume":"20","year":"2024","journal-title":"Alzheimers Demen"},{"key":"10.1016\/j.jamda.2026.106321_bib17","doi-asserted-by":"crossref","first-page":"1182","DOI":"10.1002\/gps.3941","article-title":"Suicidal ideation in family carers of people with dementia: a pilot study","volume":"28","author":"O\u2019Dwyer","year":"2013","journal-title":"Int J Geriatr Psychiatry"},{"key":"10.1016\/j.jamda.2026.106321_bib18","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1016\/S0140-6736(24)01296-0","article-title":"Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission","volume":"404","author":"Livingston","year":"2024","journal-title":"Lancet"},{"key":"10.1016\/j.jamda.2026.106321_bib19","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1080\/13607863.2018.1544213","article-title":"WHO's global action plan on the public health response to dementia: some challenges and opportunities","volume":"24","author":"Cahill","year":"2020","journal-title":"Aging Ment Health"},{"key":"10.1016\/j.jamda.2026.106321_bib20","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.gerinurse.2023.10.015","article-title":"Influence of caregivers' psychological well-being on the anxiety and depression of care recipients with dementia","volume":"55","author":"Hwang","year":"2024","journal-title":"Geriatr Nurs"},{"key":"10.1016\/j.jamda.2026.106321_bib21","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.archger.2019.01.020","article-title":"The caregiving dyad: do caregivers' appraisals of caregiving matter for care recipients' health?","volume":"82","author":"Pristavec","year":"2019","journal-title":"Arch Gerontol Geriatr"},{"key":"10.1016\/j.jamda.2026.106321_bib22","doi-asserted-by":"crossref","first-page":"e14","DOI":"10.2196\/mental.5558","article-title":"A systematic review and meta-analysis of e-Mental health interventions to treat symptoms of posttraumatic stress","volume":"4","author":"Simblett","year":"2017","journal-title":"JMIR Ment Health"},{"key":"10.1016\/j.jamda.2026.106321_bib23","doi-asserted-by":"crossref","first-page":"e798","DOI":"10.1016\/S2589-7500(23)00151-6","article-title":"Effect of telehealth-integrated antenatal care on pregnancy outcomes in Australia: an interrupted time-series analysis","volume":"5","author":"Thirugnanasundralingam","year":"2023","journal-title":"Lancet Digit Health"},{"key":"10.1016\/j.jamda.2026.106321_bib24","doi-asserted-by":"crossref","first-page":"e5886","DOI":"10.1002\/gps.5886","article-title":"Using digital technologies to facilitate social inclusion during the COVID-19 pandemic: experiences of co-resident and non-co-resident family carers of people with dementia from DETERMIND-C19","volume":"38","author":"Hicks","year":"2023","journal-title":"Int J Geriatr Psychiatry"},{"key":"10.1016\/j.jamda.2026.106321_bib25","doi-asserted-by":"crossref","DOI":"10.1016\/j.invent.2025.100802","article-title":"Effects of COVID-19 e-mental health interventions: a systematic review of systematic reviews and meta-analyses","volume":"39","author":"Rw","year":"2025","journal-title":"Internet Interv"},{"key":"10.1016\/j.jamda.2026.106321_bib26","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1037\/a0027056","article-title":"The use of internet technology for psychoeducation and support with dementia caregivers","volume":"9","author":"Hayden","year":"2012","journal-title":"Psychol Serv"},{"key":"10.1016\/j.jamda.2026.106321_bib27","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0283600","article-title":"Digital tools for delivery of dementia education for caregivers of persons with dementia: a systematic review and meta-analysis of impact on caregiver distress and depressive symptoms","volume":"18","author":"Scerbe","year":"2023","journal-title":"PLoS One"},{"key":"10.1016\/j.jamda.2026.106321_bib28","doi-asserted-by":"crossref","first-page":"1895","DOI":"10.1080\/13607863.2023.2190082","article-title":"The effectiveness of internet-based psychoeducation programs for caregivers of people living with dementia: a systematic review and meta-analysis","volume":"27","author":"Yu","year":"2023","journal-title":"Aging Ment Health"},{"key":"10.1016\/j.jamda.2026.106321_bib29","doi-asserted-by":"crossref","DOI":"10.2196\/38204","article-title":"Cost-effectiveness of internet interventions compared with treatment as usual for people with mental disorders: systematic review and meta-analysis of randomized controlled trials","volume":"25","author":"Rohrbach","year":"2023","journal-title":"J Med Internet Res"},{"key":"10.1016\/j.jamda.2026.106321_bib30","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1186\/s12877-022-03417-5","article-title":"How formal caregiver\u2019s BPSD knowledge influences positive aspects of caregiving: the mediating role of attitude and the moderating role of self-efficacy","volume":"22","author":"Hu","year":"2022","journal-title":"BMC Geriatr"},{"key":"10.1016\/j.jamda.2026.106321_bib31","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1111\/ggi.14581","article-title":"Positive aspects of caregiving attenuate the relationship between behavioral bother and anxiety and depressive symptoms in dementia family caregivers","volume":"23","author":"Cheng","year":"2023","journal-title":"Geriatr Gerontol Int"},{"key":"10.1016\/j.jamda.2026.106321_bib32","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1080\/01612840802641727","article-title":"Renewing everyday hope: the hope experience of family caregivers of persons with dementia","volume":"30","author":"Duggleby","year":"2009","journal-title":"Issues Ment Health Nurs"},{"key":"10.1016\/j.jamda.2026.106321_bib33","doi-asserted-by":"crossref","DOI":"10.2196\/13415","article-title":"Web-based interventions to improve mental health in home caregivers of people with dementia: meta-analysis","volume":"21","author":"Zhao","year":"2019","journal-title":"J Med Internet Res"},{"key":"10.1016\/j.jamda.2026.106321_bib34","doi-asserted-by":"crossref","first-page":"612404","DOI":"10.3389\/fnagi.2021.612404","article-title":"Tele-health intervention for carers of dementia patients\u2014a systematic review and meta-analysis of randomized controlled trials","volume":"13","author":"Zhu","year":"2021","journal-title":"Front Aging Neurosci"},{"key":"10.1016\/j.jamda.2026.106321_bib35","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.1080\/13607863.2024.2371480","article-title":"Effects of telehealth interventions on the caregiver burden and mental health for caregivers of people with dementia: a systematic review and meta-analysis","volume":"28","author":"Zhu","year":"2024","journal-title":"Aging Ment Health"},{"key":"10.1016\/j.jamda.2026.106321_bib36","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1003583","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"18","author":"Page","year":"2021","journal-title":"PLoS Med"},{"key":"10.1016\/j.jamda.2026.106321_bib37","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1186\/s12874-018-0545-3","article-title":"Defining the process to literature searching in systematic reviews: a literature review of guidance and supporting studies","volume":"18","author":"Cooper","year":"2018","journal-title":"BMC Med Res Methodol"},{"key":"10.1016\/j.jamda.2026.106321_bib38","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1002\/jrsm.12","article-title":"A basic introduction to fixed-effect and random-effects models for meta-analysis","volume":"1","author":"Borenstein","year":"2010","journal-title":"Res Synth Methods"},{"key":"10.1016\/j.jamda.2026.106321_bib39","doi-asserted-by":"crossref","first-page":"1290","DOI":"10.1097\/01.BRS.0000065484.95996.AF","article-title":"Updated method guidelines for systematic reviews in the Cochrane Collaboration Back Review Group","volume":"28","author":"van Tulder","year":"2003","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.jamda.2026.106321_bib40","series-title":"Cochrane handbook for systematic reviews of interventions","first-page":"241","article-title":"Analysing data and undertaking meta-analyses","author":"Deeks","year":"2019"},{"key":"10.1016\/j.jamda.2026.106321_bib41","doi-asserted-by":"crossref","first-page":"d4002","DOI":"10.1136\/bmj.d4002","article-title":"Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trials","volume":"343","author":"Sterne","year":"2011","journal-title":"BMJ"},{"key":"10.1016\/j.jamda.2026.106321_bib42","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1136\/bmj.315.7109.629","article-title":"Bias in meta-analysis detected by a simple, graphical test","volume":"315","author":"Egger","year":"1997","journal-title":"BMJ"},{"key":"10.1016\/j.jamda.2026.106321_bib43","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1093\/geront\/gnab029","article-title":"Results of a randomized trial testing the efficacy of tele-savvy, an online synchronous\/asynchronous psychoeducation program for family caregivers of persons living with dementia","volume":"62","author":"Hepburn","year":"2022","journal-title":"Gerontologist"},{"key":"10.1016\/j.jamda.2026.106321_bib44","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1037\/hea0000680","article-title":"Randomized controlled trial of a facilitated online positive emotion regulation intervention for dementia caregivers","volume":"38","author":"Moskowitz","year":"2019","journal-title":"Health Psychol"},{"key":"10.1016\/j.jamda.2026.106321_bib45","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1016\/j.jagp.2013.02.019","article-title":"A videophone psychosocial intervention for dementia caregivers","volume":"21","author":"Czaja","year":"2013","journal-title":"Am J Geriatr Psychiatry"},{"key":"10.1016\/j.jamda.2026.106321_bib46","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1093\/geront\/45.6.793","article-title":"Worksite-based internet multimedia program for family caregivers of persons with dementia","volume":"45","author":"Beauchamp","year":"2005","journal-title":"Gerontologist"},{"key":"10.1016\/j.jamda.2026.106321_bib47","doi-asserted-by":"crossref","first-page":"101125","DOI":"10.1016\/j.lanepe.2024.101125","article-title":"Evaluating the effects of the World Health Organization\u2019s online intervention \u2018iSupport\u2019 to reduce depression and distress in dementia carers: a multi-centre six-month randomised controlled trial in the UK","volume":"48","author":"Windle","year":"2025","journal-title":"Lancet Reg Health Eur"},{"key":"10.1016\/j.jamda.2026.106321_bib48","doi-asserted-by":"crossref","first-page":"104868","DOI":"10.1016\/j.ijnurstu.2024.104868","article-title":"The effects of a facilitator-enabled online multicomponent iSupport for dementia programme: a multicentre randomised controlled trial","volume":"159","author":"Xiao","year":"2024","journal-title":"Int J Nurs Stud"},{"key":"10.1016\/j.jamda.2026.106321_bib49","doi-asserted-by":"crossref","first-page":"435","DOI":"10.54029\/2024fpi","article-title":"Impact of \u2018web-based mindfulness based stress reduction combined with solution-focused intervention on dementia caregivers\u2019 negative affect","volume":"29","author":"Hu","year":"2024","journal-title":"Neurol Asia"},{"key":"10.1016\/j.jamda.2026.106321_bib50","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1002\/jclp.22739","article-title":"Acceptance and treatment effects of an internet-delivered cognitive-behavioral intervention for family caregivers of people with dementia: a randomized-controlled trial","volume":"75","author":"Meichsner","year":"2019","journal-title":"J Clin Psychol"},{"key":"10.1016\/j.jamda.2026.106321_bib51","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.3717","article-title":"A web-based psychoeducational program for informal caregivers of patients with Alzheimer\u2019s disease: a pilot randomized controlled trial","volume":"17","author":"Cristancho-Lacroix","year":"2015","journal-title":"J Med Internet Res"},{"key":"10.1016\/j.jamda.2026.106321_bib52","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0116622","article-title":"Effectiveness of an internet intervention for family caregivers of people with dementia: results of a randomized controlled trial","volume":"10","author":"Blom","year":"2015","journal-title":"PLoS One"},{"key":"10.1016\/j.jamda.2026.106321_bib53","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.1080\/07317115.2021.1940409","article-title":"Comparison of on site versus online psycho education groups and reducing caregiver burden","volume":"45","author":"Karagiozi","year":"2022","journal-title":"Clin Gerontol"},{"key":"10.1016\/j.jamda.2026.106321_bib54","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1016\/j.jagp.2013.02.019","article-title":"A videophone psychosocial intervention for dementia caregivers","volume":"21","author":"Czaja","year":"2013","journal-title":"Am J Geriatr Psychiatry"},{"key":"10.1016\/j.jamda.2026.106321_bib55","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1016\/j.gerinurse.2021.03.017","article-title":"Factors influencing depression in primary caregivers of patients with dementia in China","volume":"42","author":"Cheng","year":"2021","journal-title":"Geriatr Nurs"},{"key":"10.1016\/j.jamda.2026.106321_bib56","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1093\/geront\/gnz118","article-title":"How effective are dementia caregiver interventions? An updated comprehensive meta-analysis","volume":"60","author":"Walter","year":"2020","journal-title":"Gerontologist"},{"key":"10.1016\/j.jamda.2026.106321_bib57","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1111\/wvn.12690","article-title":"A meta-analysis of mindfulness-based interventions for improving mental health and burden among caregivers of persons living with dementia","volume":"21","author":"Saragih","year":"2024","journal-title":"Worldviews Evid Based Nurs"},{"key":"10.1016\/j.jamda.2026.106321_bib58","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1177\/01939459251341197","article-title":"Effects of physical activity on health among informal caregivers of people with cognitive decline: a systematic review and meta-analysis","volume":"47","author":"Ahn","year":"2025","journal-title":"West J Nurs Res"},{"key":"10.1016\/j.jamda.2026.106321_bib59","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1111\/jan.14262","article-title":"A systematic review and meta-analysis on effective interventions for health-related quality of life among caregivers of people with dementia","volume":"76","author":"Lee","year":"2020","journal-title":"J Adv Nurs"},{"key":"10.1016\/j.jamda.2026.106321_bib60","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0116980","article-title":"Demographic and health related data of users of a mobile application to support drug adherence is associated with usage duration and intensity","volume":"10","author":"Becker","year":"2015","journal-title":"PLoS One"},{"key":"10.1016\/j.jamda.2026.106321_bib61","doi-asserted-by":"crossref","first-page":"100141","DOI":"10.1016\/j.ijnsa.2023.100141","article-title":"The effects of self-guided interventions on stress, burden, and mental health in caregivers of people living with dementia: a systematic review","volume":"5","author":"Ko","year":"2023","journal-title":"Int J Nurs Stud Adv"},{"key":"10.1016\/j.jamda.2026.106321_bib62","doi-asserted-by":"crossref","first-page":"104204","DOI":"10.1016\/j.ijnurstu.2022.104204","article-title":"Comparative efficacy of 11 non-pharmacological interventions on depression, anxiety, quality of life, and caregiver burden for informal caregivers of people with dementia: a systematic review and network meta-analysis","volume":"129","author":"Sun","year":"2022","journal-title":"Int J Nurs Stud"},{"key":"10.1016\/j.jamda.2026.106321_bib63","doi-asserted-by":"crossref","first-page":"15","DOI":"10.3389\/fpsyg.2015.00015","article-title":"Mindfulness training promotes upward spirals of positive affect and cognition: multilevel and autoregressive latent trajectory modeling analyses","volume":"6","author":"Garland","year":"2015","journal-title":"Front Psychol"},{"key":"10.1016\/j.jamda.2026.106321_bib64","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1001\/jamapsychiatry.2020.0940","article-title":"Effect of internet vs face-to-face cognitive behavior therapy for health anxiety: a randomized noninferiority clinical trial","volume":"77","author":"Axelsson","year":"2020","journal-title":"JAMA Psychiatry"},{"key":"10.1016\/j.jamda.2026.106321_bib65","doi-asserted-by":"crossref","first-page":"121","DOI":"10.3109\/10253890.2011.596866","article-title":"Relationship between chronic stress and carotid intima-media thickness (IMT) in elderly Alzheimer\u2019s disease caregivers","volume":"15","author":"Roepke","year":"2012","journal-title":"Stress"},{"key":"10.1016\/j.jamda.2026.106321_bib66","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1037\/a0027783","article-title":"A longitudinal analysis of the relations among stress, depressive symptoms, leisure satisfaction, and endothelial function in caregivers","volume":"31","author":"Mausbach","year":"2012","journal-title":"Health Psychol"},{"key":"10.1016\/j.jamda.2026.106321_bib67","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1159\/000538398","article-title":"Emotion regulation strategies and mental health in dementia caregivers: the moderating role of gender","volume":"53","author":"Bullard","year":"2024","journal-title":"Dement Geriatr Cogn Disord"},{"key":"10.1016\/j.jamda.2026.106321_bib68","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0231848","article-title":"Sex and gender differences in caregiving burden experienced by family caregivers of persons with dementia: a systematic review","volume":"15","author":"Xiong","year":"2020","journal-title":"PLoS One"},{"key":"10.1016\/j.jamda.2026.106321_bib69","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1017\/S1041610211000299","article-title":"Dementia anxiety among older adult caregivers: an exploratory study of older adult caregivers in Canada","volume":"23","author":"Alberts","year":"2011","journal-title":"Int Psychogeriatr"},{"key":"10.1016\/j.jamda.2026.106321_bib70","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1186\/s12877-023-04522-9","article-title":"Healthcare and community stakeholders\u2019 perceptions of barriers and facilitators to implementing a behavioral activation intervention for people with dementia and depression: a qualitative study using normalization process theory","volume":"23","author":"Svedin","year":"2023","journal-title":"BMC Geriatr"},{"key":"10.1016\/j.jamda.2026.106321_bib71","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2020.00128","article-title":"Digital mental health tools for caregivers of older adults\u2014a scoping review","volume":"8","author":"Petrovic","year":"2020","journal-title":"Front Public Health"},{"key":"10.1016\/j.jamda.2026.106321_bib72","doi-asserted-by":"crossref","DOI":"10.1002\/smi.70056","article-title":"Protective role of sustained positive emotions in mitigating negative mood responses following acute laboratory stressor in middle-aged and older dementia caregivers","volume":"41","author":"Lin","year":"2025","journal-title":"Stress Health"},{"key":"10.1016\/j.jamda.2026.106321_bib73","doi-asserted-by":"crossref","DOI":"10.1177\/15333175211064756","article-title":"Perceived stress in older dementia caregivers: mediation by loneliness and depression","volume":"37","author":"Peavy","year":"2022","journal-title":"Am J Alzheimers Dis Other Demen"},{"key":"10.1016\/j.jamda.2026.106321_bib74","doi-asserted-by":"crossref","first-page":"1796","DOI":"10.1111\/inm.13390","article-title":"Effectiveness of technology-delivered psychosocial interventions for family caregivers of patients with dementia: a systematic review, meta-analysis and meta-regression","volume":"33","author":"Cheng","year":"2024","journal-title":"Int J Ment Health Nurs"},{"key":"10.1016\/j.jamda.2026.106321_bib75","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0083326","article-title":"Partial mediation role of self-efficacy between positive social interaction and mental health in family caregivers for dementia patients in Shanghai","volume":"8","author":"Zhang","year":"2013","journal-title":"PLoS One"},{"key":"10.1016\/j.jamda.2026.106321_bib76","doi-asserted-by":"crossref","first-page":"1322","DOI":"10.1080\/13607863.2022.2118666","article-title":"The relationship of caregiver self-efficacy to caregiver outcomes: a correlation and mediation analysis","volume":"27","author":"Phongtankuel","year":"2023","journal-title":"Aging Ment Health"},{"key":"10.1016\/j.jamda.2026.106321_bib77","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1177\/08919887231195217","article-title":"Burden and depression among empirically-derived subgroups of family caregivers for individuals with dementia","volume":"37","author":"Ahmad","year":"2024","journal-title":"J Geriatr Psychiatry Neurol"},{"key":"10.1016\/j.jamda.2026.106321_bib78","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1080\/13607863.2011.651437","article-title":"The relationship between self-efficacy and positive aspects of caregiving in Alzheimer's disease caregivers","volume":"16","author":"Semiatin","year":"2012","journal-title":"Aging Ment Health"},{"key":"10.1016\/j.jamda.2026.106321_bib79","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1038\/s44159-021-00003-1","article-title":"An overview of and recommendations for more accessible digital mental health services","volume":"1","author":"Lattie","year":"2022","journal-title":"Nat Rev Psychol"},{"key":"10.1016\/j.jamda.2026.106321_bib80","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1177\/1755738012471029","article-title":"The key principles of cognitive behavioural therapy","volume":"6","author":"Fenn","year":"2013","journal-title":"InnovAiT"},{"key":"10.1016\/j.jamda.2026.106321_bib81","doi-asserted-by":"crossref","first-page":"1566","DOI":"10.1111\/hsc.13223","article-title":"Rethinking respite in Australia: a naturalistic effect study of a multicomponent community program to promote respite knowledge, attitudes and behaviours of carers of people with dementia","volume":"29","author":"Phillipson","year":"2021","journal-title":"Health Soc Care Community"},{"key":"10.1016\/j.jamda.2026.106321_bib82","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1002\/gps.4352","article-title":"Effects of psychosocial interventions on self-efficacy of dementia caregivers: a literature review","volume":"31","author":"Tang","year":"2016","journal-title":"Int J Geriatr Psychiatry"},{"key":"10.1016\/j.jamda.2026.106321_bib83","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1080\/07317115.2017.1317686","article-title":"Caregiving and perceived generativity: a positive and protective aspect of providing care?","volume":"40","author":"Grossman","year":"2017","journal-title":"Clin Gerontol"},{"key":"10.1016\/j.jamda.2026.106321_bib84","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1111\/ggi.70038","article-title":"Relationship between the quality of formal care and family caregivers\u2019 positive and negative aspects of caregiving for older patients with chronic conditions","volume":"25","author":"Tomita","year":"2025","journal-title":"Geriatr Gerontol Int"},{"key":"10.1016\/j.jamda.2026.106321_bib85","doi-asserted-by":"crossref","DOI":"10.3390\/jcm13082322","article-title":"Positive emotions in family caregivers of Alzheimer's disease patients: factors associated with gain in caregiving from a gender perspective","volume":"13","author":"Ponsoda","year":"2024","journal-title":"J Clin Med"},{"key":"10.1016\/j.jamda.2026.106321_bib86","doi-asserted-by":"crossref","first-page":"gbaf230","DOI":"10.1093\/geronb\/gbaf230","article-title":"Internet altruistic behaviors and affective well-being among family caregivers: a natural language processing approach","volume":"81","author":"Liu","year":"2026","journal-title":"J Gerontol B Psychol Sci Soc Sci"}],"container-title":["Journal of the American Medical Directors Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1525861026002112?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1525861026002112?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T15:18:16Z","timestamp":1785856696000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1525861026002112"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":86,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S1525861026002112"],"URL":"https:\/\/doi.org\/10.1016\/j.jamda.2026.106321","relation":{},"ISSN":["1525-8610"],"issn-type":[{"value":"1525-8610","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effects of e-Mental Health Interventions on Psychological Outcomes Among Informal Caregivers of People With Dementia: A Systematic Review and Meta-Analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of the American Medical Directors Association","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jamda.2026.106321","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Post-Acute and Long-Term Care Medical Association.","name":"copyright","label":"Copyright"}],"article-number":"106321"}}